A client is admitted with hypokalemia and skeletal muscle weakness. Which assessment does the nurse perform first?
A. Blood pressure
B. Pulse
C. Respirations
D. Temperature
Answer: C. Respirations
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The nurse is reviewing the development of the newborn infant. Regarding the sinuses, which statement is true in relation to a newborn infant?
a. Sphenoid sinuses are full size at birth. b. Maxillary sinuses reach full size after puberty. c. Frontal sinuses are fairly well developed at birth. d. Maxillary and ethmoid sinuses are the only sinuses present at birth.
The school nurse is helping teach a fourth-grade class about the GI system. How long would the nurse tell the students the small intestine is?
A) 1000 cm B) 3000 cm C) 5000 cm D) 7000 cm
The nurse palpates a very weak pedal pulse in the right foot. What other findings would the nurse expect to find in the right foot and leg? (Select all that apply.)
a. Bruising b. Darkened color c. Cool skin d. Diminished hair on limb e. Capillary refill of 3 seconds
The patient is a 10-year-old child admitted to the emergency department after "huffing" gasoline. The physician suspects mild brain damage. What signs will the nurse teach the parents to observe for after they take the child home?
1. Slurred speech, memory loss, and personality changes 2. Depression, cold extremities, and dyspnea 3. Nausea, vomiting, and dizziness 4. Irregular pulse, fainting, and anger